Your Custom Quiz

In Mullins 2023 et al., on thoracolumbar pin placement, what was a key **limitation** of the FHP technique noted in the study?

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Correct. FHP required training and anatomical familiarity, which impacted intraoperative deviation rates.
Incorrect. The correct answer is Steep learning curve and operator experience dependency.
FHP required training and anatomical familiarity, which impacted intraoperative deviation rates.

🔍 Key Findings

  • Both free-hand probing (FHP) and 3D-printed guides (3DPG) enabled accurate spinal pin placement, with 87.5% vs 96.4% of pins graded as optimal (Grade I).
  • 3DPGs had fewer intraoperative deviations (0/56 pins) compared to 6/56 with the FHP technique.
  • No pins using either method fully breached the medial vertebral canal (Grade IIb) — a critical safety outcome.
  • Pins placed using 3DPGs required less time overall (mean 2.6 min) than FHP (mean 4.5 min).
  • FHP required specific experience and has a learning curve, whereas 3DPG use requires CAD software and 3D printing access.
  • FHP had more lateral canal violations (Grade IIIa: 4/56 vs 0/56 for 3DPG), suggesting slightly less precision.
  • Both techniques were safe, and all deviations were recognized and corrected intraoperatively.
  • 3DPGs may offer practical advantages in clinical settings lacking surgical expertise, while FHP allows immediate intervention without 3D printing delay.

Mullins

Veterinary Surgery

5

2023

Accuracy of pin placement in the canine thoracolumbar spine using a free-hand probing technique versus 3D-printed patient-specific drill guides: An ex-vivo study

2023-5-VS-mullins-4

Article Title: Accuracy of pin placement in the canine thoracolumbar spine using a free-hand probing technique versus 3D-printed patient-specific drill guides: An ex-vivo study

Journal: Veterinary Surgery

In Eskelinen 2025 et al., on Plate–Pin fixation for MPL, what suggestion was made to reduce future complications?

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Correct. Authors suggest using pin only for alignment, then removing before final fixation.
Incorrect. The correct answer is Use of temporary pin fixation.
Authors suggest using pin only for alignment, then removing before final fixation.

🔍 Key Findings

  • Plate–Pin TTT fixation resolved MPL in 64/65 stifles with low recurrence (1.5%) and good lameness outcomes postoperatively.
  • Complication rate was 21.5% (14/65 stifles), mostly minor (57%); major issues included pin migration, fracture, or capsular failure.
  • Pin-related issues accounted for 8 of 20 total complications, highlighting implant refinement is needed.
  • No avulsions, TT fixation failures, or luxation recurrence occurred in cases where surgical technique was followed precisely.
  • Surgical deviations increased complication risk 11.3× (p < 0.05), suggesting adherence to protocol is critical.
  • Single-session bilateral MPL surgery had comparable complication rate (3/20) to unilateral surgery (11/45).
  • Screw breakage occurred in 3 cases, suggesting at least 3 screws may be needed for secure TT fixation.
  • Authors suggest temporary pin fixation and later removal may reduce complications, though prospective studies are needed.

Eskelinen

Veterinary and Comparative Orthopaedics and Traumatology

4

2025

Outcome and Complications Following Medial Patellar Luxation Corrective Surgery with Tibial Tuberosity Transposition Using a Locking Plate and a Pin Fixation: 45 Unilateral and 20 Single-Session Bilateral Procedures

2025-4-VCOT-eskelinen-4

Article Title: Outcome and Complications Following Medial Patellar Luxation Corrective Surgery with Tibial Tuberosity Transposition Using a Locking Plate and a Pin Fixation: 45 Unilateral and 20 Single-Session Bilateral Procedures

Journal: Veterinary and Comparative Orthopaedics and Traumatology

In De Moya 2025 et al., on antebrachial deformity correction, what was the mean total radial lengthening achieved after distraction osteogenesis?

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Correct. Mean lengthening was 22.6 mm, representing ~11% increase compared to the contralateral radius.
Incorrect. The correct answer is 22.6 mm.
Mean lengthening was 22.6 mm, representing ~11% increase compared to the contralateral radius.

🔍 Key Findings

  • CESF with distraction osteogenesis restored elbow congruity and normalized aLDRA in skeletally immature dogs with PCDRP.
  • Radial head subluxation was eliminated in all dogs, and elbow incongruity reduced significantly (from 6.1 mm to 0.3 mm, p <.01).
  • Mean radial lengthening of 22.6 mm (∼11% of normal length) was achieved, but only 80% of recorded distraction translated to length gain.
  • Major complications occurred in 2/12 dogs: one with permanent carpal contracture, one with radial fracture at wire tract.
  • Minor complications (e.g., carpal pain, restricted extension, synostosis, pin tract issues) were noted in 10/12 dogs but generally resolved.
  • Owner surveys (8/12 dogs) reported good to excellent long-term function, even up to 6 years post-op.
  • Radial valgus deformities were moderate (mean 15°) and less severe than deformities from ulnar physeal closure.
  • Surgical strategy included staged distraction, with radial or combined radius/ulna distraction guided by fluoroscopy and adjusted per case.

De Moya

Veterinary Surgery

6

2025

Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs

2025-6-VS-demoya-4

Article Title: Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs

Journal: Veterinary Surgery

In Folk 2025 et al., on vessel sealing device reuse, what was the frequency of positive aerobic cultures from either devices or debris?

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Correct. No positive aerobic cultures were obtained from devices or debris after EtO sterilization.
Incorrect. The correct answer is 0%.
No positive aerobic cultures were obtained from devices or debris after EtO sterilization.

🔍 Key Findings

40 dogs underwent splenectomy using 16 bipolar vessel sealing devices (VSDs)
Devices were reused up to 4 times after handwashing and ethylene oxide (EtO) sterilization
Biologic debris was found in 100% of devices, specifically under the transection blade, even after a single use

  • Mostly scant (14/16) or mild (2/16) debris

No devices or debris yielded positive aerobic culture after EtO sterilization
EtO sterilization proved microbiologically effective despite visible residue
Perioperative failure rate: 1 device (malfunctioned during first activation)

Folk

Veterinary Surgery

3

2025

Incidence of residual biologic debris and contamination of reused bipolar vessel sealing devices after ethylene oxide sterilization following splenectomy

2025-3-VS-folk-3

Article Title: Incidence of residual biologic debris and contamination of reused bipolar vessel sealing devices after ethylene oxide sterilization following splenectomy

Journal: Veterinary Surgery

In Healy 2025 et al., on incidental PBBs, which CT finding was significantly associated with presence of PBBs?

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Correct. Median age was 10.5 years for dogs with PBBs vs. 8.2 years without; p = .001.
Incorrect. The correct answer is Increased age.
Median age was 10.5 years for dogs with PBBs vs. 8.2 years without; p = .001.

🔍 Key Findings

Population: 2,178 canine CTs reviewed retrospectively.
Prevalence: Incidental PBBs found in 1.37% (30/2178).
Outcome: None of the dogs with incidental PBBs developed clinical spontaneous pneumothorax (SP) over a median follow-up of 1255 days.
Significant Associations:

  • Age: Dogs with PBBs were significantly older (median 10.5 yrs vs. 8.2 yrs, p = .001).
  • CT indication: PBBs more likely during neoplastic staging (p = .006).

PBB Characteristics:

  • Total = 60 PBBs (median 1/dog; range 1–7).
  • Location: 35% in left caudal, 31.6% right caudal, only 13.3% in right cranial lobe.
  • Size-based: 25 bullae (>10 mm), 35 blebs (≤10 mm).

Conclusion: Prophylactic resection of incidental PBBs not justified given no observed SP risk in this population.

Healy

Veterinary Surgery

1

2025

Significance of incidentally identified bullae and blebs on thoracic computed tomography and prevalence of subsequent pneumothorax in dogs

2025-1-VS-healy-4

Article Title: Significance of incidentally identified bullae and blebs on thoracic computed tomography and prevalence of subsequent pneumothorax in dogs

Journal: Veterinary Surgery

In Smith 2025 et al., on bacterial cultures in TECA dehiscence, what percentage of dogs had changes in antibiotic susceptibility when the same bacteria were isolated at both TECA and dehiscence?

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Correct. In 4 of 7 cases where the same bacteria were cultured, antibiotic susceptibility differed.
Incorrect. The correct answer is 57%.
In 4 of 7 cases where the same bacteria were cultured, antibiotic susceptibility differed.

🔍 Key Findings

  • Only 1 of 12 dogs (8.3%) cultured the same single organism (Staphylococcus schleiferi) at TECA and dehiscence sites.
  • In 58.3% (7/12), none of the bacteria from TECA cultures were found at dehiscence.
  • Staphylococcus spp. were isolated in 83.3% of dehiscence samples.
  • Methicillin resistance was high among Staphylococcus isolates: 80% at dehiscence.
  • Antibiotic susceptibility differed in 57% (4/7) of cases where the same bacteria were cultured at both time points.
  • TECA cultures were not predictive of bacteria at incisional dehiscence.
  • 75% of dogs healed with either medical or surgical management.

Recommendation: Repeat cultures at dehiscence to guide antibiotic therapy.

Smith

Veterinary Surgery

3

2025

Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

2025-3-VS-smith-5

Article Title: Comparison of bacteria cultured during a total ear canal ablation and subsequent incisional dehiscence in 12 dogs

Journal: Veterinary Surgery

In Low 2024 et al., what was the effect of TCS placement method on screw angulation?

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Correct. Screw angulation was significantly lower with 3D-printed guides compared to other methods:contentReference[oaicite:4]{index=4}
Incorrect. The correct answer is 3D guide produced smallest angle.
Screw angulation was significantly lower with 3D-printed guides compared to other methods:contentReference[oaicite:4]{index=4}

🔍 Key Findings Summary

  • 47 dogs (57 elbows) underwent TCS placement for HIF
  • Overall complication rate = 17.5%
    • Minor: seromas (7 elbows)
    • Major: septic arthritis (3 elbows) — all resolved with antibiotics
  • No screw failures, medial epicondylar fractures, or catastrophic outcomes noted
  • Long-term follow-up in 41 dogs (50 elbows):
    • 90% full function, 10% acceptable function
    • Mean follow-up = ~2.5 years
  • Increased age was significantly protective (p = 0.0051; OR = 0.61)
  • TCS placement method (freehand, guide, aiming device) significantly impacted screw angulation but not complication rate
  • Outcome not affected by presence of complications

Low

Veterinary and Comparative Orthopedics and Traumatology

4

2024

Long-Term Outcome and Complications after Transcondylar Screw Placement for Canine Humeral Intracondylar Fissure

2024-4-VCOT-low-5

Article Title: Long-Term Outcome and Complications after Transcondylar Screw Placement for Canine Humeral Intracondylar Fissure

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Allaith 2023 et al., on THR outcomes, which of the following was most commonly reported as a major complication?

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Correct. Luxation was the most commonly reported major complication in both veterinary surgeon and owner reports.
Incorrect. The correct answer is Luxation of the prosthetic joint.
Luxation was the most commonly reported major complication in both veterinary surgeon and owner reports.

🔍 Key Findings

From Allaith et al., 2023 – Outcomes from a multiuser canine hip replacement registry

  • 2375 total hip replacements were analyzed across 1852 dogs, making this the largest multiuser canine THR dataset to date.
  • Most common indications for THR were hip dysplasia (51%) and osteoarthritis (34%).
  • Implants used included Kyon (46%), BioMedtrix CFX (22%), Hybrid (11%), BFX (9%), and Helica (4.5%).
  • Veterinary-reported complication rate was 8.5%, while owner-reported was 23%, with moderate agreement (k=0.44).
  • Most common complications: Luxation, femoral fracture, and aseptic loosening.
  • BioMedtrix BFX and Helica implants had a higher risk of complications when used after femoral head and neck excision (P = .031).
  • Postoperative LOAD scores significantly improved vs preoperative (21 → 11; P < .0001), supporting improved mobility.
  • Owner satisfaction was high, with 88% rating outcome as very good or good.

Allaith

Veterinary Surgery

2

2023

Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

2023-2-VS-allaith-1

Article Title: Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period

Journal: Veterinary Surgery

In Socha 2024 et al., what advantage does UTE MRI offer over conventional FSE MRI for ligament imaging?

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Correct. UTE captures bound and free water signals in collagen-rich tissues missed by FSE:contentReference[oaicite:2]{index=2}
Incorrect. The correct answer is Visualization of short T2 components.
UTE captures bound and free water signals in collagen-rich tissues missed by FSE:contentReference[oaicite:2]{index=2}

🔍 Key Findings Summary

  • Normative ultrashort echo time (UTE) MRI T2* values were established for:
    • Patellar ligament (PL): T2*L = 4.65 ms
    • Cranial cruciate ligament (CrCL): T2*L = 5.99 ms
    • Caudal cruciate ligament (CdCL): T2*L = 7.06 ms
  • Statistically significant differences in T2*L values were found between:
    • PL vs. CrCL (p = 0.03)
    • PL vs. CdCL (p = 0.0097)
    • CrCL vs. CdCL (p = 0.03)
  • No significant differences in short T2* (T2*S) values across ligaments.
  • Study highlights potential of UTE MRI to detect early ligament changes even without physical instability.
  • May guide early diagnosis in partial CrCL rupture where standard MRI is limited.

Socha

Veterinary and Comparative Orthopedics and Traumatology

2

2024

Ultrashort Echo Time Quantitative Magnetic Resonance Imaging of the Cruciate Ligaments in Normal Beagles

2024-2-VCOT-socha-3

Article Title: Ultrashort Echo Time Quantitative Magnetic Resonance Imaging of the Cruciate Ligaments in Normal Beagles

Journal: Veterinary and Comparative Orthopedics and Traumatology

In Loh 2024 et al., on treatment outcomes for CvHL in dogs, which nonsurgical method had the highest success rate?

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Correct. Hobbles achieved a 61.8% success rate, the highest among nonsurgical treatments.
Incorrect. The correct answer is Hobbles.
Hobbles achieved a 61.8% success rate, the highest among nonsurgical treatments.

🔍 Key Findings

  • Low-trauma events caused 82.9% of CvHL cases; Poodles and poodle-crosses represented 49.4% of cases.
  • Success rate of hobbles (61.8%) was significantly higher than closed reduction alone (10.3%) or Ehmer sling (18.5%).
  • Multivariate analysis found hobbles 7.62x more likely to succeed vs. closed reduction (p = .001).
  • Specialist surgeons had higher success with nonsurgical management (OR: 2.68; p = .047).
  • Older age associated with better outcomes (OR: 1.15 per year; p < .0005).
  • Ehmer sling is not recommended due to high failure and complication rates (60.6%).
  • Toggle rod stabilization had a high surgical success rate (88.2%) with low complication.
  • No link was found between CvHL and hip dysplasia or OA in most cases (only 2/108 showed OA).

Loh

Veterinary Surgery

4

2024

Caudoventral hip luxation in 160 dogs (2003–2023): A multicenter retrospective case series

2024-4-VS-loh-1

Article Title: Caudoventral hip luxation in 160 dogs (2003–2023): A multicenter retrospective case series

Journal: Veterinary Surgery

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